An elderly client has met the criteria for a diagnosis of major depressive disorder. The client does not respond to antidepressant medications. Which treatment should a nurse anticipate that the physician would prescribe for this client?
A. Electroconvulsive therapy (ECT)
B. Neuroleptic therapy
C. An antiparkinsonian agent
D. An anxiolytic agent
A
The nurse should anticipate that ECT will be ordered to treat this client's symptoms of depression. ECT remains one of the safest and most effective treatments for major depressive disorder in older adults. When a client does not respond to antidepressant medications or has been diagnosed with co-morbid disease processes that prohibit the use of antidepressant medications, ECT is considered the treatment of choice. The response to ECT may be slower in older clients, and the effects may be of limited duration.
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The nurse is providing care for a patient who has just been diagnosed with peripheral arterial occlusive disease (PAD). What assessment finding is most consistent with this diagnosis?
A) Numbness and tingling in the distal extremities B) Unequal peripheral pulses between extremities C) Visible clubbing of the fingers and toes D) Reddened extremities with muscle atrophy
The nurse is assessing the stool consistency of a client with an ascending colostomy. Which of the following would the nurse expect to find?
A) Liquid B) Semiliquid C) Soft D) Formed
A client tells the nurse that he has an HMO for his health insurance. The nurse understands that the purpose of this type of health plan is to:
1. ensure payment is made to Medicare for services rendered. 2. maximize the utilization of health care resources. 3. efficiently manage costs while providing quality care. 4. focus on the illness when providing care.
Which of the following is a characteristic of a secondary group
a. There is not a designated leader. b. They have a prescribed structure. c. They lack identified specific goals. d. The group remains together even when goals are achieved.